CORNELIUS JOHN DRISCOLL (NPI# 1093893307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093893307 |
| Entity Type | Individual |
| Full Name | CORNELIUS JOHN DRISCOLL |
| Credential | LCSW |
| Practice Address |
629 N Main St Suite: C- 3 Corona CA 92880-1409 |
| Practice Telephone | 9517382400 |
| Practice Fax Number | 9513403566 |
| Mailing Telephone | 9517382400 |
| Mailing Fax Number | 9513403566 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS20816 | CA | Behavioral Health & Social Service Providers |
| Street Address |
629 N MAIN ST SUITE: C- 3 |
| City | CORONA |
| State | CA |
| Zip Code | 92880-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518320571 | Lisa Noble | Licensed Vocational Nurse | 629 N Main St, Ste C-3, Corona, CA 92880-1410 | 2016-03-29 |
| 1003290339 | Rafael Morales Toia | Marriage & Family Therapist | 629 N Main St, Suite C-3, Corona, CA 92880-1409 | 2015-07-16 |
| 1053731125 | Robert Cordero | Case Manager/Care Coordinator | 629 N Main St, Suite C-3, Corona, CA 92880-1409 | 2014-04-16 |
| 1063847424 | Joseph William Salthouse | Licensed Vocational Nurse | 629 N Main St, Suite C-3, Corona, CA 92880-1409 | 2013-09-04 |
| 1205184926 | Sylvia Bishop | Case Management | 629 N Main St, Ste. C - 3, Corona, CA 92880-1409 | 2012-08-28 |
| 1477816627 | Luke Alan Stuard | Marriage & Family Therapist | 629 N Main St, Corona, CA 92880-1409 | 2012-06-22 |
| 1124399555 | Kelly Parker | Licensed Vocational Nurse | 629 N Main St, Corona, CA 92880-1409 | 2012-01-17 |
| 1770875734 | Nafisa Husain | Marriage & Family Therapist | 629 N Main St, Corona, CA 92880-1409 | 2011-05-10 |
| 1437456910 | Teresa Marie Mendoza | Marriage & Family Therapist | 629 N Main St, Suite C-3, Corona, CA 92880-1409 | 2011-02-18 |
| 1114252871 | Helen M. Johnston | Counselor | 629 N Main St, Suite C-3, Corona, CA 92880-1409 | 2009-10-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545577 | Jillian Gottesman | Social Worker | 11541 Norgate Cir, Corona, CA 92878-9117 | 2020-10-10 |
| 1508487349 | Cheyanna Dawn Young | Social Worker | 1122 Daffodil St, Corona, CA 92882-5818 | 2020-05-04 |
| 1932564135 | Minjoy Cato | Social Worker | 25165 Sumac Ct, Corona, CA 92883-3053 | 2015-12-15 |
| 1134519622 | Vasundhara Benson | Social Worker | 25577 Hyacinth St, Corona, CA 92883-3131 | 2015-02-04 |
| 1053731075 | Sami Elquza | Social Worker | 944 W Rancho Rd, Corona, CA 92882-4042 | 2014-04-17 |
| 1063841286 | Angela Herrera | Social Worker | 3468 112th St, Corona, NY 11368-1320 | 2013-11-07 |
| 1134400849 | Lisa Hecker | Social Worker | 2645 Independence Cir, Corona, CA 92882-6011 | 2011-09-08 |
| 1902111255 | Katie Weber | Social Worker | 765 N Main St Ste 146, Corona, CA 92880-1440 | 2010-08-11 |
| 1801100011 | Norton Aurthur Saenz De Viteri | Social Worker | 10340 52nd Ave, Corona, NY 11368-3253 | 2010-07-29 |
| 1033439955 | Jessica Lee Shears | Social Worker | 22846 Hunters Ct, Corona, CA 92883-9177 | 2010-06-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.